Job Description

We are seeking a detail-oriented and experienced Medical Coder & Biller to join our team. In this role, you will be responsible for reviewing medical records, assigning appropriate codes for diagnoses and procedures, and submitting claims for reimbursement. The ideal candidate will have a strong understanding of medical coding standards, billing procedures, and insurance regulations.

This is a 100% remote position , requiring excellent time management skills and the ability to work independently while ensuring accuracy in coding and billing processes.

Key Responsibilities:

• Review patient medical records and assign appropriate ICD-10, CPT, and HCPCS codes.

• Accurately submit and process claims to insurance companies, Medicare, and Medicaid.

• Verify insurance coverage and ensure correct billing practices.

• Resolve coding discrepancies and claim denials by working with providers and payers.

• Ensure compliance with HIPAA regulations, medical coding guidelines, and industry standards.

• Maintain accurate patient records and update billing information as necessary.

• Stay updated on changes in medical coding regulations and insurance policies.

• Communicate with healthcare providers, insurance companies, and patients regarding claims and billing inquiries.

Requirements:

• Education: High school diploma or equivalent required; Associates or Bachelors degree in Health Information Management, Medical Billing, or a related field is preferred.

• Experience:

  • 1+ year of experience in medical coding and billing.

  • Prior experience working with CPT, ICD-10, HCPCS coding and claim submission.

• Certifications (Preferred but not required):

  • CPC (Certified Professional Coder) AAPC

  • CCA (Certified Coding Associate) or CCS (Certified Coding Specialist) AHIMA

  • CPB (Certified Professional Biller) AAPC

• Technical Skills:

  • Proficiency in medical billing software (e.g., Epic, eClinicalWorks, Kareo, Medisoft ).

  • Experience with EHR (Electronic Health Records) systems.

  • Strong knowledge of insurance guidelines, including Medicare and Medicaid.

• Soft Skills:

  • Strong attention to detail and accuracy in coding and billing.

  • Excellent problem-solving and analytical skills.

  • Effective communication skills for working with healthcare providers and insurance companies.

  • Ability to work independently in a remote environment and meet deadlines.

Preferred Qualifications:

• Experience with denial management and claims appeals .

• Knowledge of medical terminology and anatomy .

• Familiarity with payer-specific coding requirements (e.g., Blue Cross Blue Shield, Aetna, UnitedHealthcare).

Benefits:

• Competitive salary based on experience.

• Fully remote work with flexible scheduling.

• Health, dental, and vision insurance.

• Paid time off and company holidays.

• Professional development and certification reimbursement.

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